Individual
BRENDA G SUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2300A MANCHESTER EXPRESSWAY, SUITE 101B, COLUMBUS, GA 31904
(706) 256-0825
(706) 256-0830
Mailing address
775 DAVIS LAKE RD, PINE MOUNTAIN, GA 31822-8262
(706) 663-0249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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